2023 Form 5500 filing — Evansville Auto, LLC Self Funded Medical Reimbursement Plan
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20250610144506NAL0011673795001) for Evansville Auto, LLC Self Funded Medical Reimbursement Plan, reported by Evansville Auto, LLC under EIN 87-1689451 and plan number 501. It reports 11 participants. Attached schedules in the loaded dataset include Schedule I (small plan financials).
- EFAST2 acknowledgement
- 20250610144506NAL0011673795001
- Filing year
- 2023
- Form type
- 2
- Plan sponsor
- Evansville Auto, LLC
- EIN
- 87-1689451
- Plan number
- 501
- Location
- Evansville, WI
- Participants
- 11
- Schedules available
- Schedule I
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $16,537
- Net assets (EOY)
- $16,537
- Participant contributions
- $33,566
- Total income / additions
- $34,258
- Benefits paid
- $16,635
- Administrative expenses
- $9,952
- Total expenses
- $26,587
- Net increase / (decrease)
- $7,671
- Schedule source
- Schedule I